Individual
KATHERINE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7219 N LITCHFIELD RD BLDG 1130, LUKE AIR FORCE BASE, AZ 85309-1529
(623) 856-2273
Mailing address
4200 N FALCON DR UNIT 20, GOODYEAR, AZ 85395-2303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57.028736
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2016
Last updated
07/18/2019
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